ROM MOHAN R KOPPARTHI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069720

License Status

ACTIVE

Business

First Name

ROM MOHAN R

Last Name

KOPPARTHI

Suffix

Business Name

ROM MOHAN R KOPPARTHI MD

Original Issue Date

10/22/1984

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023